Melody Lynn Moore, PA-C, LCSW is a medicare enrolled "Physician Assistant" provider in Olympia, Washington. She went to Campbell Univ School Of Osteopathic Medicine and graduated in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Neil Group Inc and her current practice location is
3624 Ensign Rd Ne Ste F, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 634-8949.
Melody Lynn Moore is licensed to practice in Washington (license number 61505595) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790093730.
Healthcare Provider's Profile
| Full Name | Melody Lynn Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 3624 Ensign Rd Ne Ste F, Olympia, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melody Lynn Moore attended and graduated from Campbell Univ School Of Osteopathic Medicine in 2023
NPI Data:
- NPI Number: 1790093730
- Provider Enumeration Date: 09/23/2010
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597101477
- Enrollment ID: I20240313004349
Medical Identifiers
Medical identifiers for Melody Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790093730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C006993 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-13458 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 61505595 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 61505595 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Neil Group Inc | 2365581196 | 17 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melody Lynn Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Melody Lynn Moore, PA-C, LCSW
380-h Knollwood St Pmb 115,
Winston Salem, NC 27103-1865
Ph: (336) 794-6811 | Melody Lynn Moore, PA-C, LCSW
3624 Ensign Rd Ne Ste F,
Olympia, WA 98506-5114
Ph: (360) 634-8949 |
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